Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $4,570.88 / $14,454.40	Facility		$1,659.59	$4,570.88	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,235.94	Professional		$1,122.02	$1,380.38	$3,235.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,778.28 / $3,090.30	Professional		$1,348.96	$1,778.28	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,862.09 / $3,090.30	Professional		$1,318.26	$1,862.09	$3,090.30
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $2,570.40	Facility		$1,202.26	$1,621.81	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $2,511.89 / $3,311.31	Professional		$5.01	$2,511.89	$3,311.31
United Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $12,302.69 / $19,054.61	Facility		$4,466.84	$12,302.69	$19,054.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,479.11 / $2,754.23	Professional		$1,122.02	$1,479.11	$2,754.23
Wellcare Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $16,595.87 / $33,884.42	Facility		$16,595.87	$16,595.87	$33,884.42
Wellcare Facility/Professional Professional Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $10,471.29	Professional		$9,120.11	$9,120.11	$10,471.29